Schreien und persistierende Unruhe im Säuglings- und Kleinkindalter

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• 作者：Dr. C. Bindt ; M. Schulte-Markwort
• 关键词：SchlüsselwörterSelbstregulation ; Säuglingskoliken ; Probiotika ; Training der Elternkompetenz ; Psychotherapie
• 刊名：Monatsschrift Kinderheilkunde
• 出版年：2017
• 出版时间：January 2017
• 年：2017
• 卷：165
• 期：1
• 页码：73-85
• 全文大小：
• 刊物类别：Medicine
• 刊物主题：Pediatrics; General Practice / Family Medicine;
• 出版者：Springer Medizin
• ISSN：1433-0474
• 卷排序：165

文摘

A distinction should be made between different types of colicky infant crying. During the first 3 months crying is seen as a burdensome symptom that ceases spontaneously in >85% of cases and does not compromise development. Pharmacological, dietetic, chiropractic and osteopathic interventions are not recommended due to a lack of evidence on effectiveness. Clinical management is centered on parental psychoeducation including guidance on handling and screening for psychosocial risks, e. g., maltreatment and parental mental health impairment. Excessive crying and unrest that persist beyond the first 3 months are linked with various childhood psychiatric disorders and should therefore be diagnosed and treated if necessary by infant mental health specialists or psychiatrists. To improve the child’s affective capacity for self-regulation, interventions should focus on early infant-parent interaction. In addition, parental psychiatric disorders necessitate specific interventions.